28 results
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
Platelet Count - Differential ... → Refer to hematology ... for workup, including ... Kawasaki, Nephrotic syndrome ... Diagnosis #Algorithm #hematology
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint Pain ... Antiphospholipid-antibody syndrome ... #joint #pain #skin ... #rashes #differential ... #diagnosis #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
the most tender spot ... lasts longer. ... #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics
Anterior Non-necrotizing Scleritis - Slit Lamp Ocular Examination

This 57 yo WM reported to clinic complaining of
he reported no pain ... patient was sent to rheumatology ... further systemic workup ... Scleritis #clinical #video ... #physicalexam #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
-60 minutes or longer ... Acute or chronic infections ... #MSK #rheumatology ... #approach #workup ... #differential #
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
Skin Lesions - Differential ... Burrows between fingers ... Mpox • Starts ... SAPHO syndrome ( ... with rheumatic pain
Top 10 situations when to think about lupus
1) Inflammatory joint pain (especially in the wrists and
Inflammatory joint pain ... the wrists and fingers ... , or pain everywhere ... the face (many differential ... erythematosus #rheumatology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Associated with Joint Pain ... Bacterial or viral infection ... conditions #joint #pain ... #differential # ... diagnosis #rheumatology
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Approach to Joint Pain ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup ... #differential #
Cold Agglutinin Disease

3 Types of Cold Sensitive Antibodies:
  1. Cold Agglutinins (CAD)
  2. Donath-Landsteiner
Cold Agglutinin Syndrome ... nose, ears, or fingers ... younger pts) Differential ... chills, flank pain ... hemolytic #anemia #hematology